缺血神经性糖尿病足溃疡的临床处理流程

Clinical approach to the neuroischemic ulcers in diabetic foot

缺血神经性糖尿病足溃疡（NDFU）表现为下肢感染、深组织溃疡、神经病变和不同程度的外周血管病变，患者常伴有高龄、病程长、心血管疾病等多种危险因素，治疗难度大，预后取决于合并症的严重程度、组织侵犯的范围和外周血管疾病。本文报道1例高龄伴严重并发症的NDUF 患者的临床诊治过程，试图阐明和规范其临床处理流程。

[Summary] Neuroischemic diabetic foot ulcer （ NDFU） is characterized by infection, ulceration of deep tissues, neurological abnormalities, and various degrees of peripheral vascular disease in the lower limbs. The patients often have multiple risk factors such as older, longer duration, cardiovascular disease. The treatment is very difficult. The prognosis depends on the severity of complications, tissue range of infections, and the peripheral vascular disease. In this article, the treatment process of an old inpatient with NDFU and severe complications was reviewed and to propose a standard pathway for its management.